BLANCA GLORIA AVILA
Individual Provider (NPI-1)
Active
Home Health
Provider Information
- NPI Number
1861056962- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1522 HILLSDALE AVE, SAN JOSE, CA, 951181037
- Phone
- (408) 655-1391
Specialties & Taxonomies
Home Health
Primary License: CA #3718441432